ABSTRACT
The implementation of a new paradigm for caries management is necessary for the profession to respond effectively to changing population health needs. The FDI Global Caries Initiative (GCI) is a 10 year programme aimed at developing and implementing a new paradigm for caries management, one that would contribute to a common vision of health. The article reviews the global health policy landscape and examines how it might influence and shape the implementation of the GCI.
Subject(s)
Dental Caries/prevention & control , Global Health/trends , Health Policy/trends , Health Promotion/methods , Oral Health/trends , Humans , International Cooperation , Primary Prevention , Secondary Prevention , World Health OrganizationABSTRACT
The English HCV lookback programme has identified some individuals with transfusion-transmitted HCV infection. The path from the collection of donations from HCV-infected donors to the identification of infected recipients was constructed. The probability of different outcomes at each branch was derived from data collected during this programme. This path of probabilities was then used to produce a complete estimate of the number of recipients infected by blood transfusions (dead and alive at the end of 1995) by re-entry of blood components that fell out of the lookback at various steps prior to recipient testing, and entry of components from HCV-infected donations that were never identified for lookback. Less than 14,000 recipients were estimated to have been infected with HCV during the decade prior to the start of donation testing. Over 60% of these were expected to have died by the end of 1995. Transfusion has infected a large group of individuals. However, this group constitutes a very small, and declining, proportion of all HCV infections in the population.
Subject(s)
Blood Transfusion , Hepacivirus/pathogenicity , Hepatitis C/transmission , England/epidemiology , Epidemiologic Studies , Female , Hepatitis C/epidemiology , Humans , Male , Middle Aged , Risk FactorsABSTRACT
A survey of the dentist-patient relationship, carried out in several Melbourne suburbs, found that the incidence of dentures increases with age; that females visit the dentist more regularly and are more likely to wear partial dentures than males; that the young visit more regularly than the old; and that the wearing of dentures and the expense of treatment are significant factors which deter people from visiting the dentist more regularly. It was found that "fear" and "dislike" of the dentist, "low" confidence in the dentist and a poor dentist attitude to the patient are all associated with poor attendance. "Dislike" is a stronger deterrent than "fear", although "fear" is more common. Confidence in the dentist is high, most have a high opinion of their own dentist, and only a fifth of the respondents consider their dentist to be "rude" or "indifferent". Attitude associations are also discussed.